脑卒中康复期患者自我调节疲劳现状及影响因素分析  

The status quo of self-regulated fatigue of stroke survivors in convalescence and its influencing factors

作　　者：张雪梅 郭燕杰 党雪 刘聪慧 张梦桐 任晓青 董雪[1] ZHANG Xuemei;GUO Yanjie;DANG Xue;LIU Conghui;ZHANG Mengtong;REN Xiaoqing;DONG Xue(School of Nursing,Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学护理学院,长春130117

出　　处：《中国临床护理》2024年第2期75-79,91,共6页Chinese Clinical Nursing

基　　金：吉林省教育厅科学技术研究项目(编号:JKH20210991KJ);吉林省卫生健康科技能力提升项目(编号:2023LC031)。

摘　　要：目的调查脑卒中康复期患者自我调节疲劳的现状,并分析其影响因素,为制定个体化干预方案提供参考依据。方法采用便利抽样法,选取2023年2月-5月在脑病科住院并进行康复治疗的199例脑卒中患者为研究对象,采用一般资料调查表、美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)、自我调节疲劳量表、正性负性情绪量表、脑卒中患者功能锻炼依从性量表及社会支持评定量表对其进行调查。结果本组脑卒中康复期患者自我调节疲劳得分为(47.39±4.54)分。脑卒中康复期患者自我调节疲劳与正性情绪、社会支持均呈负相关(r=-0.437,P<0.001;r=-0.633,P<0.001),与负性情绪呈正相关(r=0.346,P<0.001)。多元线性回归分析结果显示,性别、年龄、文化程度、婚姻状况、功能锻炼依从性、NIHSS评分、负性情绪和社会支持是脑卒中康复期患者自我调节疲劳的独立影响因素(R^(2)=0.552,△R^(2)=0.528,F=23.153,P<0.001)。结论脑卒中康复期患者的自我调节疲劳呈中等偏上水平,医护人员应根据其影响因素制定针对性的干预措施,降低患者的自我调节疲劳水平,促进患者康复。Objective To explore the status quo of self-regulated fatigue of stroke survivors in convalescence and analyze its influencing factors,so as to provide references for making individualized nursing intervention plan.Methods Totally 199 stroke survivors admitted between February and May 2023 were selected,and surveyed using a general condition questionnaire,national institutes of health stroke scale(NIHSS),self-regulatory fatigue scale,positive and negative affect scale,function exercise adherence scale of cerebral apoplexy patients and social support rating scale.Results The total score of self-regulated fatigue was(47.39±4.54)points,negatively correlated with positive emotion and social support(r=-0.437,P<0.001;r=-0.633,P<0.001),but positively correlated with negative emotion(r=0.346,P<0.001).Multiple linear regression analysis showed that gender,age,educational level,marital status,compliance with functional exercise,NIHSS score,negative emotion and social support were independent influencing factors of self-regulated fatigue among such patients(R^(2)=0.552,△R^(2)=0.528,F=23.153,P<0.001).Conclusion The stroke survivors in convalescence have self-regulating fatigue above the average.Therefore,targeted intervention measures should be formulated according to its influencing factors to lower the level and promote the recovery of such patients.

关 键 词：康复期 脑卒中 自我调节疲劳 自我损耗 影响因素 

分 类 号：R473.74[医药卫生—护理学]